Individual provider · Type 1 NPI
Edward C. Brant, DDS
Periodontics · St. James, NY
NPI number
1154586733
Active
Practice location
447 Lake Avenue
St. James, NY 11780
Fax (631) 584-4398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 043007 (NY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1154586733
Edward C. Brant, DDS's National Provider Identifier is 1154586733, issued on Jul 23, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. James, NY. The record was last updated on Jul 23, 2008.